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t <br />if’: <br />f <br />* ‘ <br />4 <br />/ <br /># <br />i <br />f <br />{ <br />ism osB » iwwmrPr«ftcnt Xoningi District IBPresent Ose of Property Kt^f ResidentialOtKer (specify)iDracRimon or mmoarnsr <br />Descrifc» request in detail:y7#Vwi ids/^ a. JuiiA <br />UgOIUD 80RM1TTRL8 <br />1. <br />2. <br />3. <br />4. <br />5. <br />Coaipleted Application Forsu <br />Certified Property Owners List of owiiers within 350* (yoo can obtaiii <br />thia liet frcMi Hennepin County Oeparteent of Pinance A-403 Goearnwenfc <br />Center 34i«3271) w. » *.wStasiped* leqal sited eneelopes (flQ) pre-addressed to each of the naaes <br />on the above list with no return address. <br />Certificate of survey. <br />Topographic survey (esi^ <br />6. <br />7. <br />a. <br />SSf' 93^ <br />$ <br />alterations involve changes <br />Construction plan* if appli <br />Plat Hap. <br />As an addendtjai to this appl ' <br />any other persons you wish n <br />The applicant and Property Own 4^ A <br />rea^aber that your application is <br />not been included. <br />‘ esiA tmf <br />:s> if land <br />hts). <br />rate list oft —..... <br />on. <br />omation has <br />Certification by Zoning Departaen coaiplete <br />Zoning Officials Signature <br />AmaCAlTT'S SlCHATOaS <br />The applicant hereby agrees tc ----- •.a.ua cequireo or <br />requested by the Zoning Administrator* agrees to pay all fees and/or <br />unusual expenses incurred in review of this application* and certifies that <br />the information supplied is true and correct to the beat of his/her <br />Icnowledge. <br />Applicant's signature XLJI Date .57/^ /y <br />Oinrass 8ICHATOXB <br />The owner hereby acicnowledges and agrees to this application and further <br />authorized reasonable entry onto the property by City staff* consultants, <br />agents* commission members* and Council members for purposes of <br />investigation and verification oi^this request. <br />Owner's signature ______________ Date <br />Applicant must have all siltoittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are held on the <br />third Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Commission and Council. If an applicant is <br />unable to attend a scheduled meeting* please ma)ce arrangements to have an <br />authorized agent attend in your place and advise the Building I Zoning <br />Office of this change prior to the meeting. <br />rm—I' < <br />■4.. <br />« > <br />J